decisionhealth Newsletters, Coder Pink Sheets - 2009 Issue 9 (September)
NPPs need to be qualified for incident-to
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Article Overview
This article explains Medicare oversight concerns involving incident-to billing for non-physician practitioners and highlights why qualification and supervision matter for practices that provide therapy-related services. It is relevant to physicians, physical therapists, rehabilitation practices, compliance staff, and coders who need a general understanding of the policy issues, audit risk, and related CMS and OIG commentary discussed in the source.
Why This Topic Matters
Incident-to billing can create compliance exposure when services are performed by practitioners who do not meet applicable qualification standards. The article helps readers understand the broader Medicare policy and audit context surrounding those services and the organizations involved in setting or interpreting the rules.
What You Will Learn
- The Medicare compliance issues associated with incident-to billing
- Why practitioner qualification matters for therapy-related services
- How OIG and CMS commentary affects practice compliance awareness
- What types of policy and credentialing topics are discussed in relation to incident-to services
Who Should Read This
- Physicians
- Non-physician practitioners
- Physical therapists
- Rehabilitation practices
- Pain management practices
- Medical coders
- Compliance staff
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